1. The nurse has just reassessed the condition of a postoperative client who was admitted 1 hour
ago to the surgical unit. The nurse plans to monitor
... [Show More] which parameter most carefully during the
next hour?
1. Urinary output of 20 mL/hour
2. Temperature of 37.6°C (99.6°F)
3. Blood pressure of 100/70 mm Hg
4. Serous drainage on the surgical dressing
2. Which client is at risk for the development of a sodium level at 130 mEq/L (130 mmol/L)?
1. The client who is taking diuretics
2. The client with hyperaldosteronism
3. The client with Cushing's syndrome
4. The client who is taking corticosteroids
3. A health care provider prescribes genetic testing for a client who has a family history of
colorectal cancer. Which action should the nurse take before scheduling the client for the
procedure?
a. Confirm that informed consent was obtained and placed on the client’s chart.
b. Provide genetic counseling to the client and the client’s family members.
c. Assess if the client is prepared for the risk of psychological side effects.
d. Respect the client’s right not to share the results of the genetic test.
4. A nurse cares for a pregnant client who has a family history of sickle cell disease. The client is
unsure if she wants to participate in genetic testing. What action should the nurse take?
a. Provide information about the risks and benefits of genetic testing.
b. Empathize with the client and share a personal story about a hereditary disorder.
c. Teach the client that early detection can minimize transmission to the fetus.
d. Advocate for the client and her baby by encouraging genetic testing.
5. The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client
is dyspneic, and crackles are audible on auscultation. What additional manifestations would the
nurse expect to note in this client if excess fluid volume is present?
1. Weight loss and dry skin
2. Flat neck and hand veins and decreased urinary output
3. An increase in blood pressure and increased respirations
4. Weakness and decreased central venous pressure (CVP)
6. The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the
client’s record and determines that the client is at risk for developing the potassium deficit
because of which situation?
1. Sustained tissue damage
2. Requires nasogastric suction
3. Has a history of Addison’s disease
4. Uric acid level of 9.4 mg/dL (559 μmol/L)
7. The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes the
results and determines that the client is experiencing respiratory acidosis. Which result validates [Show Less]